DR. MARY BETH HELLER PH.D.
NPI 1972694032
Psychologist - Clinical in Midlothian, VA

Q: What is Mary Heller's NPI number?

The NPI number for Mary Heller is 1972694032. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Q: What is Mary Heller's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Mary Heller enrolled in Medicare?

No. Mary Heller has opted out of Medicare through November 8, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Mary Heller was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 27, 2006Opted out of Medicare · through Nov 8, 2026

5931 HARBOUR PARK DR, MIDLOTHIAN, VA 23112(804) 693-1136(804) 639-5584 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Dr. Mary Beth Heller Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY BETH HELLER PH.D. (NPI 1972694032) is an individual clinical provider in Midlothian, Virginia, licensed in Virginia (0810003684) and active in the NPI registry since September 2006. She has opted out of Medicare through November 8, 2026.

NPPES Registry Identity

NPI1972694032

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MARY BETH HELLERCredential: PH.D.

Location Address5931 HARBOUR PARK DRMidlothian, VA 23112-2163

Mailing Address5931 Harbour Park DrMidlothian, VA 23112-2163 · (804) 693-1136 · Fax (804) 639-5584

Phone(804) 693-1136

Fax(804) 639-5584

Sole ProprietorYes

Enumeration DateSeptember 27, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1972694032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in VA · 0810003684

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

5931 HARBOUR PARK DR, Midlothian, VA 23112

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Other Identifiers 1

Other237695VA · Anthem Provider Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mary Beth Heller Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 8, 2024 through November 8, 2026.

Opt-Out Effective DateNovember 8, 2024

Opt-Out In Effect ThroughNovember 8, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RINALDO CHARLES SIMONINI PH.D.

Psychologist (Clinical)